Low-back Pain During Pregnancy and Its Psycho-social Implications

Low-back Pain During Pregnancy and Its Psycho-social Implications. The Role of the Osteopathic Manipulative Treatment Within Its Multi-disciplinary Management. A Randomised Controlled Study

Pregnancy-related pelvic girdle pain (PPP) and pregnancy-related lumbar pain (PLBP) are two distinct symptoms, which can occur together as lumbar-pelvic pain.The primary objective is to measure the impact of osteopathic manipulative treatment on pregnancy-related lumbar and pelvic pain. The secondary objective is to study the interaction between pain and psycho-social factors during the gestational period.

Inclusion Criteria:

• Women aged 18-44
• Primiparae
• Single pregnancy
• Spontaneous pregnancy - fisiological pregnancy
• pregnancy >= 12 weeks
• low-back pain (between the 12th rib and the lumbo-pelvic region) and/or pelvic (in the pubic region and/or in one or both of the sacro-iliac joint and/or of the gluteal region) non specific
• consent to treatment
• absence of linguistic barriers

Exclusion Criteria:

• Women aged <18 o >44
• Pathological pregnancy, twins
• Metabolic pathologies
• Obstetrician's emergencies
• Pre-term birth
• Specific lumbar and/or pelvic pain - Genetics disorders
• Major congenital anomalies
• Absence of consent to treatment
• Presence of linguistic barriers